Ticket for Outdoor Patient
Ward No.  12 U-PHC No.   Registration No.  01680 Date  15/02/2019
Token No SM/19-20/8166   30/12/2019 Serial 005
Patient Name Mrs. NAMITA KUNDU Contact No9748461778
Address 33 PANDIT KALINATH BHATTACHARYA STREET Age 66 YRS  Female
Token For Pathology Test Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis